Top

07-04-2024 | Back Pain | Original Article

Recovery of the Japanese orthopedic association back pain evaluation questionnaire score and walking ability following lumbar spinal stenosis surgery

Authors: Hiroto Takenaka, Mitsuhiro Kamiya, Hideshi Sugiura, Kasuri Nishihama, Junya Suzuki, Shuntaro Hanamura

Abstract

Purpose

We investigated the recovery of the Japanese orthopedic association back pain evaluation questionnaire (JOABPEQ) scores and 6 min walk distance (6MWD) in patients after surgery for lumbar spinal stenosis and identified the items among 25 questions of JOABPEQ that showed recovery.

Methods

A total of 227 patients (average age 71.5 years; SD: 7.5; 121 men) were included from a single center. The outcome measures were JOABPEQ, visual analog scale (VAS), and 6MWD and obtained preoperatively and at 1, 3, 6, and 12 months postoperatively. Mixed-model repeated measures were used to compare the variables at each time point between the surgery groups.

Results

The JOABPEQ, VAS, and 6MWD scores generally improved at 1 month postoperatively compared with those obtained preoperatively, and some parameters further improved at 3 months. However, improvement in the lumbar spine dysfunction item of JOABPEQ was delayed, showing improvement at 3 months postoperatively for decompression surgery (average score: pre, 64.6; 3 months, 78.5) and 6 months postoperatively for fusion surgery (average score: Pre, 64.3; 6 months, 77.1). Responses to the individual JOABPEQ questions generally improved after surgery. No significant changes in lumbar spine dysfunction occurred in the fusion group.

Conclusion

Our results demonstrated the early postoperative recovery course of JOABPEQ and 6MWD. In the fusion group, significant changes in lumbar spine dysfunction started at 6 months postoperatively. These findings could help medical staff explain postoperative recovery to patients after lumbar spinal stenosis surgery and in their decision making regarding surgery.

Available only for authorised users

Yabuki S, Fukumori N, Takegami M et al (2013) Prevalence of lumbar spinal stenosis, using the diagnostic support tool, and correlated factors in Japan: a population-based study. J Orthop Sci 18:893–900. https://doi.org/10.1007/s00776-013-0455-5CrossRefPubMedPubMedCentral

Lurie J, Tomkins-Lane C (2016) Management of lumbar spinal stenosis. BMJ 352:h6234. https://doi.org/10.1136/bmj.h6234CrossRefPubMedPubMedCentral

Fritsch CG, Ferreira ML, Maher CG et al (2017) The clinical course of pain and disability following surgery for spinal stenosis: a systematic review and meta-analysis of cohort studies. Eur Spine J 26:324–335. https://doi.org/10.1007/s00586-016-4668-0CrossRefPubMed

Stienen MN, Ho AL, Staartjes VE et al (2019) Objective measures of functional impairment for degenerative diseases of the lumbar spine: a systematic review of the literature. Spine J 19:1276–1293. https://doi.org/10.1016/j.spinee.2019.02.014CrossRefPubMed

Fukui M, Chiba K, Kawakami M et al (2009) JOA back pain evaluation questionnaire (JOABPEQ)/JOA cervical myelopathy evaluation questionnaire (JOACMEQ). The report on the development of revised versions. April 16, 2007. The subcommittee of the clinical outcome committee of the Japanese orthopaedic association on low back pain and cervical myelopathy evaluation. J Orthop Sci 14:348–365. https://doi.org/10.1007/s00776-009-1337-8CrossRefPubMed

Fujimori T, Miwa T, Oda T (2019) Responsiveness of the Japanese orthopaedic association back pain evaluation questionnaire in lumbar surgery and its threshold for indicating clinically important differences. Spine J 19:95–103. https://doi.org/10.1016/j.spinee.2018.05.013CrossRefPubMed

Fujimori T, Ikegami D, Sugiura T, Sakaura H (2022) Responsiveness of the Zurich claudication questionnaire, the Oswestry disability index, the Japanese orthopaedic association back pain evaluation questionnaire, the 8-item short form health survey, and the Euroqol 5 dimensions 5 level in the assessment of patients with lumbar spinal stenosis. Eur Spine J 31:1399–1412. https://doi.org/10.1007/s00586-022-07236-5CrossRefPubMed

Kawakami M, Nakao SI, Fukui D et al (2013) Modified marmot operation versus spinous process transverse cutting laminectomy for lumbar spinal stenosis. Spine 38:E1461–E1468. https://doi.org/10.1097/BRS.0b013e31829ff4aeCrossRefPubMed

Makino T, Kaito T, Fujiwara H et al (2017) Risk factors for poor patient-reported quality of life outcomes after posterior lumbar interbody fusion: an analysis of 2-year follow-up. Spine 42:1502–1510. https://doi.org/10.1097/BRS.0000000000002137CrossRefPubMed

10.

Takenaka H, Kamiya M, Sugiura H et al (2023) Minimal clinically important difference of the 6-minute walk distance in patients undergoing lumbar spinal canal stenosis surgery: 12 months follow-up. Spine 48:559–566. https://doi.org/10.1097/BRS.0000000000004566CrossRefPubMed

11.

Lee CS, Kang KC, Chung SS et al (2017) How does back muscle strength change after posterior lumbar interbody fusion? J Neurosurg Spine 26:163–170. https://doi.org/10.3171/2016.7.SPINE151132CrossRefPubMed

12.

Försth P, Ólafsson G, Carlsson T et al (2016) A randomized, controlled trial of fusion surgery for lumbar spinal stenosis. N Engl J Med 374:1413–1423. https://doi.org/10.1056/NEJMoa1513721CrossRefPubMed

13.

Matsudaira K, Seichi A, Kunogi J et al (2009) The efficacy of prostaglandin E1 derivative in patients with lumbar spinal stenosis. Spine 34:115–120. https://doi.org/10.1097/BRS.0b013e31818f924dCrossRefPubMed

14.

Orita S, Yamashita M, Eguchi Y et al (2016) Pregabalin for refractory radicular leg pain due to lumbar spinal stenosis: a preliminary prospective study. Pain Res Manag 2016:5079675. https://doi.org/10.1155/2016/5079675CrossRefPubMedPubMedCentral

15.

Chou R, Hashimoto R, Friedly J et al (2015) Epidural corticosteroid injections for radiculopathy and spinal stenosis: a systematic review and meta-analysis. Ann Intern Med 163:373–381. https://doi.org/10.7326/M15-0934CrossRefPubMed

16.

Ito Z, Matsuyama Y, Sakai Y et al (2010) Bone union rate with autologous iliac bone versus local bone graft in posterior lumbar interbody fusion. Spine 35:E1101–E1105. https://doi.org/10.1097/BRS.0b013e3181de4f2eCrossRefPubMed

17.

ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories (2002) ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 166:111–117. https://doi.org/10.1164/ajrccm.166.1.at1102CrossRef

18.

Kanda Y (2013) Investigation of the freely available easy-to-use software “EZR” for medical statistics. Bone Marrow Transplant 48:452–458. https://doi.org/10.1038/bmt.2012.244CrossRefPubMed

19.

Jegede KA, Miller CP, Bible JE, Whang PG, Grauer JN (2011) The effects of three different types of orthoses on the range of motion of the lumbar spine during 15 activities of daily living. Spine 36:2346–2353. https://doi.org/10.1097/BRS.0b013e31820921a5CrossRefPubMed

20.

Kimura H, Fujibayashi S, Otsuki B et al (2016) Effects of lumbar stiffness after lumbar fusion surgery on activities of daily living. Spine 41:719–727. https://doi.org/10.1097/BRS.0000000000001300CrossRefPubMed

21.

Oba H, Tsutsumimoto T, Yui M et al (2017) A prospective study of recovery from leg numbness following decompression surgery for lumbar spinal stenosis. J Orthop Sci 22:670–675. https://doi.org/10.1016/j.jos.2017.04.004CrossRefPubMed

22.

McIlroy S, Jadhakhan F, Bell D, Rushton A (2021) Prediction of walking ability following posterior decompression for lumbar spinal stenosis. Eur Spine J 30:3307–3318. https://doi.org/10.1007/s00586-021-06938-6CrossRefPubMed

23.

Tomkins-Lane CC, Battié MC, Macedo LG (2014) Longitudinal construct validity and responsiveness of measures of walking capacity in individuals with lumbar spinal stenosis. Spine J 14:1936–1943. https://doi.org/10.1016/j.spinee.2013.11.030CrossRefPubMed

24.

Ohtori S, Ito T, Yamashita M et al (2010) Evaluation of low back pain using the Japanese orthopaedic association back pain evaluation questionnaire for lumbar spinal disease in a multicenter study: differences in scores based on age, sex, and type of disease. J Orthop Sci 15:86–91. https://doi.org/10.1007/s00776-009-1426-8CrossRefPubMed

25.

Parai C, Hägg O, Lind B, Brisby H (2019) Follow-up of degenerative lumbar spine surgery-PROMs stabilize after 1 year: an equivalence study based on Swespine data. Eur Spine J 28:2187–2197. https://doi.org/10.1007/s00586-019-05989-0CrossRefPubMed

Title: Recovery of the Japanese orthopedic association back pain evaluation questionnaire score and walking ability following lumbar spinal stenosis surgery
Authors: Hiroto Takenaka
Mitsuhiro Kamiya
Hideshi Sugiura
Kasuri Nishihama
Junya Suzuki
Shuntaro Hanamura
Publication date: 07-04-2024
Publisher: Springer Berlin Heidelberg
Keywords: Back Pain
Back Pain
Back Pain
Spinal Stenosis
Published in: European Spine Journal
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-024-08238-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Recovery of the Japanese orthopedic association back pain evaluation questionnaire score and walking ability following lumbar spinal stenosis surgery

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content